Name:___
Phone:___
Fax:___
Ph: __ Temp: __ Tank Size:___
Tank Mate:___
Are you going to
quarantine the new fish in a quarantine tank ?___
How are you going to acclimate the new fish? Floating?___ Dripping?___
What would you like to order?
___
___
___
___
___
Arrival Date: ___ Ship to : (name of airport) :__
OR ship to my door :___
Ship To Address:____Apt#? Suite#?___
___
How would you like
to pay? Money Order/ Visa/Master Cards/ Paypal?
--------------------------
Other Info:____